HomeMy WebLinkAbout2017-01668 - demo CITY OF ORONO I I I I I I
1111111 II I II I I I I III II
2750 KELLEY PARKWAY DATE ISSUED: 01/11/2018
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3286 NAVARRE LA
PIN : 17-117-23-44-0109
LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B
: LOT 000 BLOCK 000
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE
NOTE:
1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. WELLS MUST BE ABANDONED.
3. INSPECTIONS DONE BEFORE BACKFILLING.
NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600.
SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK
TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT.
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
STATE SURCHARGE DEMO 1.00
CYCLONE CONSTRUCTION TOTAL 76.00
2876 FAIRWAY DR
CHASKA,MN 55318- Payment(s)
(651)398-3622 CREDIT CARD 1603 76.00
Minnesota State License#: BUIL-429008
OWNER
ASHDOWN,GRACE MARIE&GLEN
3286 NAVARRE LA
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at an ti a for due cause.
Ilriri
r� -?ircv l / //l /8
Applicant P•rmitee Signature Date Issued By�Bj nature Date
O City of Orono FO;t C USE ONLY
P.O.Box 66 Date Received: 1 aZ7 Permit#„jDI7�Ql(�/g�
�� 2750 Kelley Parkway /��"
Crystal Bay,MN 55323 Amount: $ /w% SAC Credit:
(952)249-4600
A
1tiiito.,4• 1 /5105 Homeowners)Signed: 0 Yes
G Resolutions(if any) Signed:❑Yes 0 None Required
kEsH o' Zoning Disclosure Signed: 0 Yes 0 None Required
e eJot ) per_ t -/.2-7117
CITY OF ORONO - DEMOLITION PERMIT a41-- 0111107
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site/Owner Information:
Type: 1 Residential E Commercial
Site Address: 3 i C A.)Av)sunF C----
Owner:
Owner: (:RAc-e Q.L1. (7 k ,4\4,0,__) Mailing Address: 3Z'6tp )l-/#,,,ze, L,.,E,
City: biZa,v Zip:
Phone: col L- 99 ii --19 bei Email: cy=t-Livr,wr;�c,Q(AI(0( Nw.c.:).c.a, ,
Contractor/Applicant Information: l
Contractor/App.: (___,..1 t_iwc. C u..A2�4..:br.J Contact Person: 1L..1A,.>! -- -
Address: S 3 G kc,—.i B-c State License#: )3 L—L-12cit6
City: ('s.A Zip: /A.•J Expiration Date: 3 131 1 I
Phone: L'S )-S1 - 34.1-2._ Email: v�c.u. c �l,J:.S2 %-vv, v.i+-4--4:ori. �«
SPECIAL CONDITIONS &HOLD HARMLESS AGREEMENT
General Instructions:
1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc.
2. Work must not begin unless the permit card is available on the job site.
3. A 24-48 hour notice is required for all inspections. Call (952) 249-4600.
4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued.
Demolition by means of: ❑ Manual Disassembly [Heavy Equipment El Other
Permit(s) Issued: Sewer Disconnection ID Well Abandonment#
In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to:
1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are
to be demolished.
2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with
Chapter 79, Construction Site Runoff Control.
3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will
not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating
permit(s) are not required.
Form Last Updated: July 2015 cl -(i L5
150784
4. Submit a $2,500 escrow and an escrow agreement signed by the property owner(copy attached).
5. Keep all structure(s) enclosed and/or secured until such time as demolition is complete.
6. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific prior
approval is obtained in writing for temporary use thereof.
7. Completely remove foundation(s) from the ground.
8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements.
9. Abandon water wells in accordance with State Health Department regulations.
10. Call for an inspection when all debris has been removed, before backfilling.
11. Within 5 working days of superstructure removal, a final inspection shall be requested. The site shall be
left clean and clear of all debris, with any excavation filled with earth level with the adjacent ground
elevation (except when such excavation is to be used as part of a new building and such new building is
actually under construction).
12. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped, crushed
and filled with native soils. An inspection is required after the tanks are pumped and before the tanks are
crushed and filled.
13. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its agents,
employees and assigns from and against all claims, damages, losses or expenses, including attorney
fees, against the City, its agents, employees and assigns arising out of or resulting from the demolition
described herein as performed by the property owner, his employees, agents, subcontractors or assigns.
PERMIT TYPE AND FEE CALCULATION
rp
$75.00 — Principal Structure $ 15.0D
`I $50.00 —Accessory Structure x (how many)
1. Subtotal of above permit requested $
2. State Surcharge 1.00
3. TOTAL PERMIT FEE (add lines 1-2 above) $
The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do
all the work in a strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and correct.
Applicant's Signature: / Date: \L 11 1
Owner's Signature: Date: 3
Approved By: ,(/� Date: )• -le
(Euilding Official)
* Zoning Disclosure Required? 7 YES ❑ NO TO Pertrivr # 2017-01(P07
*This must be filled out by Zoning Department- For either
c
answer, a Zoning 0 ial must sign all applications.li
* Approved By: CtYVAkV} Date: ' J I
(Zoning Official)
Form Last Updated: July 2015
150784
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MINNEHAHA CREEK WATERSHED DISTRICT
QUALITY OF WATER QUALITY OF LIFE
Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information
contained in the permit application, correspondence, plans, maps, and all other supporting data
submitted by the applicant, and made a part hereof by reference, PERMISSION IS HEREBY
GRANTED to the applicant named below for use and development of land in the Minnehaha
Creek Watershed District. 2.011 _a k, ,7 - New 11 3,�,
2-611 -Ou p Dalt
Issued to: Grace Dahl Permit No: 17-625
Location: 3286 Navarre Lane, Orono
Purpose: Erosion Control-Single Family Home
Date of Issuance: 12/21/2017 Date of Expiration: 12/21/2018
By Order of the Board of Managers
El�Showalter
Permitting Technician
This permit is not transferable without District approval, and is valid to the date of expiration. No
activity is authorized beyond the expiration date. If the permittee requires more time to complete
the project, an application for renewal of the permit must be received by the District at least 30
days before expiration.
The applicant is responsible for compliance with all District Rules and for the action of their
representatives, contractors, and employees.
Conditions: Project to be completed as described in plans submitted to the
MCWD office on December 19'h, 2017 according to the provisions of this permit.
• Properly install and maintain all required erosion control measures until the
disturbed areas are re-stabilized
• Notify MCWD in writing upon completing installation of perimeter and
sedimentation controls
• When the site is re-stabilized and the MCWD staff has performed a final
inspection, all perimeter control must be removed
(Statement concerning fees for inspections, violations, etc... on following page)
We collaborate with public and private partners to protect and improve land and water for current and future generations.
15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org
MINNEHAHA CREEK WATERSHED DISTRICT
QUALITY OF WATER 1—'' QUALITY OF LIFE
Inspection/Analysis/Monitoring Fees
A site inspection and monitoring by District staff will be performed where the activity involves:
• a commercial/industrial/multi-family residential development
• a single family residential development greater than 5 acres or of any size if within the
Minnehaha Creek subwatershed •
• any alteration of a floodplain or wetland
• dredging within the beds, banks or shores of any protected water or wetland
• a violation
• any project which in the judgment of the District staff should be inspected due to project
location, scope, or construction techniques
In these cases, the applicant shall pay to the District a fee equal to the actual costs of field
inspection of the work, including investigation of the area affected by the work, analysis of the
work, and any subsequent monitoring of the work, which in the case of a violation shall be at
least $35.
Standard Fee Schedule
District professional staff $ 65.51*
District interns $ 40.35*
District clerical staff $ 46.69*
Consulting Senior Engineer $ contracted rate
Consulting Engineer/Technician $ contracted rate
District Counsel $ contracted rate
Application fee $ 10.00
Copy costs $ .25 + actual staff time
Color copy costs $ 1.00 + actual staff time
• Hourly
We collaborate with public and private partners to protect and improve land and water for current and future generations.
15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org
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The only pawner.enown ma from pl.of nmonl or ink.* ,-- .,' X Legal Description:
peonielen by chit ..... ,
\ Thin Pim of Lois 44 mid 45,WALLACE'S ADDITION TO THE
.. ' VILLAGE OF MINNETONKA BEACH.Hennepin County.Minnesota.
I mien 1hr V*yam npoolecallon,cc Report nem pro..by me \ Lying Northerly of.hne running firm a point on the Not thennerly line
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said Lot 44 to a point on the Southwesterly line of mid Lot 44 distant 116
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